Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY EARL RENEKER, D.O.
ActiveDR. LARRY EARL RENEKER, D.O. is a Family Medicine healthcare provider located in FLAGLER BEACH, Florida. NPI 1619944469 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FLAGLER BEACH, FL
Registration Details
- NPI Number
- 1619944469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2006 (20.431602790925 yrs)
- Last Updated
- Oct 15, 2019
- License
-
OS7082 (FL)
Practice Information
- Address
-
2622 S DAYTONA AVEFLAGLER BEACH, FL, 321364093Browse FL providers · Browse ZIP 32136
- Phone
- 3865033736
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.